VA 20-0996 · VA
Decision Review Request for a senior reviewer to re-examine a denied claim without new evidence. Must file within 1 year of decision.
Auto-fill 72% of fields from your profile. Save 30 minutes. Download a real PDF.
VA.gov (recommended)
https://www.va.gov/decision-reviews/higher-level-review/request-higher-level-review-form-20-0996/File online for the fastest processing.
Mail to VA
Department of Veterans Affairs Board of Veterans' Appeals PO Box 16533 St. Petersburg, FL 33733-6533
Fax to VA
Fax: 844-531-7818
Filing Deadline
Within 1 year of the date on your decision letter.
4-5 months on average. A senior reviewer will examine the same evidence.
A senior reviewer will look at your case. You can request an informal conference (phone call) to point out errors in the original decision.
VA 21-526EZ · VA
Application for disability compensation and related benefits for service-connected conditions. Requires linking conditions to military service.
VA 10-10EZ · VA
Application for VA health benefits. Requires military service history, current insurance, income/assets, and toxic exposure history.
VA 10-10EZR · VA
Health Benefits Update Form for veterans already enrolled in VA health care who need to update personal, insurance, financial, or military service information.
VA 21-0966 · VA
Preserves the effective date for a VA benefits claim while gathering evidence. Provides 1 year to submit the formal claim.
VA 21-4142 · VA
Authorization and consent allowing VA to obtain private medical records from non-VA providers for disability claim adjudication.
VA 21-4142a · VA
Companion form to 21-4142 allowing specific medical professionals to release records to VA for claim processing.
Tell our assistant about your situation and we'll find the right forms for you.
Chat with Form AssistantDisclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the VA or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.
© 2026 BeneFill. All rights reserved. BeneFill™ is a trademark of Elevens.ai LLP.